Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.49 / $812.49 / $877.48	Facility		$812.49	$812.49	$877.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.49 / $892.78 / $1,624.97	Professional		$812.49	$892.78	$1,624.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.17 / $883.17 / $1,104.98	Professional		$883.17	$883.17	$1,104.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,855.75 / $1,855.75 / $1,855.75	Facility		$1,855.75	$1,855.75	$1,855.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $826.96	Professional		$826.96	$826.96	$826.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,810.68 / $11,437.15 / $11,437.15	Facility		$9,810.68	$11,437.15	$11,437.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,557.54 / $11,557.54 / $15,977.93	Professional		$11,557.54	$11,557.54	$15,977.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $1,328.21 / $1,855.75	Facility		$583.89	$1,328.21	$1,855.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $1,670.18 / $2,330.54	Professional		$590.49	$1,670.18	$2,330.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $1,239.97 / $1,855.75	Facility		$583.89	$1,239.97	$1,855.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,937.80	Professional		$826.96	$826.96	$1,937.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $753.71 / $1,114.98 / $1,362.73	Professional		$753.71	$1,114.98	$1,362.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,097.01 / $1,107.56 / $1,855.75	Professional		$1,097.01	$1,107.56	$1,855.75